DR. BRUCE BENNETT REID (NPI# 1093757965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093757965 |
| Entity Type | Individual |
| Full Name | DR. BRUCE BENNETT REID |
| Credential | MD |
| Practice Address |
324 10th Ave #154 Salt Lake City UT 84103-2853 |
| Practice Telephone | 8014088666 |
| Mailing Telephone | 8014088666 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3186281205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 942854059169 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194732651 | Bruce Howard Reid | Dentist | 5292 S College Dr, Suite 203, Salt Lake City, UT 84123-2672 | 2006-08-01 |
| 1104859461 | Bruce Edwin Reid | Optometrist | 400 Ernest W Barrett Pkwy Nw, Suite 297, Kennesaw, GA 30144-4917 | 2006-07-09 |
| 1780677930 | Bruce Walter Reid | Orthopaedic Surgery | 304 Marcella Rd, Suite B, Hampton, VA 23666-2578 | 2005-08-23 |
| 1639392624 | Bruce G Reid | Social Worker | 1901 D St Se, Washington, DC 20003-2534 | 2007-04-10 |
| Street Address |
324 10TH AVE #154 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700330 | Leon E Paulos | Orthopaedic Surgery | 324 10th Ave, Suite 175, Salt Lake City, UT 84103-2853 | 2005-06-14 |
| 1568715092 | Ihc Health Services Inc | Psychiatry & Neurology | 324 10th Ave, Ste 178, Salt Lake City, UT 84103-2885 | 2012-10-22 |
| 1568747707 | Nathan Carter Littlefield | Nurse Practitioner | 324 10th Ave, 100, Salt Lake City, UT 84103-2853 | 2011-10-19 |
| 1972824803 | Wasatch Hematology / Oncology Associates, P.C. | Internal Medicine | 324 10th Ave, Suite 274, Salt Lake City, UT 84103-2853 | 2010-06-15 |
| 1235363094 | Ihc Health Services Inc | Clinic/Center | 324 10th Ave, Ste 206, Salt Lake City, UT 84103-2853 | 2009-05-08 |
| 1174776348 | Ihc Health Services Inc | Internal Medicine | 324 10th Ave, #249, Salt Lake City, UT 84103-2853 | 2008-10-31 |
| 1336307966 | Ihc Health Services Inc | Urology | 324 10th Ave, Ste 178, Salt Lake City, UT 84103-2853 | 2008-05-30 |
| 1427236082 | Hyong Tae Kim | Surgery | 324 10th Ave, Ste 100, Salt Lake City, UT 84103-2853 | 2008-02-06 |
| 1891979563 | Celia A Garner | Internal Medicine | 324 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 | 2007-12-18 |
| 1851571590 | Richard V. Matern | Urology | 324 10th Ave, Ste 100, Salt Lake City, UT 84103-2853 | 2007-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
| 1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
| 1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
| 1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
| 1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
| 1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
| 1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
| 1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
| 1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| Find all providers in zip 84103 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609319722 | Antigoni Koliopoulou | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E # Som3c127, Salt Lake City, UT 84132-0002 | 2016-11-21 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1487994562 | Edwin Clifford Mcgough | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 705 N Pioneer Fork Rd, Salt Lake City, UT 84108-1642 | 2013-02-26 |
| 1659630572 | John David Vossler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E # 3c127, Salt Lake City, UT 84132-0002 | 2012-05-12 |
| 1407145535 | Utl Solutions, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 369 E 900 S, Suite 279, Salt Lake City, UT 84111-4331 | 2011-03-29 |
| 1003063934 | Clynn Roberts Ford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2843 Lancaster Dr, Salt Lake City, UT 84108-2535 | 2008-08-21 |
| 1356335970 | J Kent Thorne | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1160 E. 3900 S, #3500, Salt Lake City, UT 84124 | 2005-09-09 |
| 1255795308 | University of Utah Pediatric Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-04-05 |
| 1184028995 | University of Utah Adult Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1073871042 | Ashley Eleen Morgan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2012-04-27 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.